Evidence map›Paper›PMID 37014873›Full record

ArticleRadiation research2023

Biological Characterization of the Effects of Filtration on the Xoft Axxent® Electronic Brachytherapy Source for Cervical Cancer Applications.

Autumn E Walter, Pippa F Cosper, Kwangok P Nickel, Shrey Ramesh, Ahtesham U Khan, Larry A DeWerd, Randall J Kimple

Open access · greenAbstract read
In one paragraph

Article in Radiation research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Autumn E WalterDepartment of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Pippa F CosperDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Kwangok P NickelDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Shrey RameshDepartment of Human Oncology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Ahtesham U KhanDepartment of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Larry A DeWerdDepartment of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Randall J KimpleDepartment of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
University of Wisconsin–Madison · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
Chromosomal Instability as a Marker and Mechanism of Radiation ResponseK08CA256166 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI COSPER, PIPPA F · 2021 to 2025
$926k
NCI NIH HHS K08 CA256166NCI NIH HHS P30 CA014520
6 · The paper itself

Abstract

Low-energy X-ray sources that operate in the kilovoltage energy range have been shown to induce more cellular damage when compared to their megavoltage counterparts. However, low-energy X-ray sources are more susceptible to the effects of filtration on the beam spectrum. This work sought to characterize the biological effects of the Xoft Axxent® source, a low-energy therapeutic X-ray source, both with and without the titanium vaginal applicator in place. It was hypothesized that there would be an increase in relative biological effectiveness (RBE) of the Axxent® source compared to 60Co and that the source in the titanium vaginal applicator (SIA) would have decreased biological effects compared to the bare source (BS). This hypothesis was drawn from linear energy transfer (LET) simulations performed using the TOPAS Monte Carlo user code as well a reduction in dose rate of the SIA compared to the BS. A HeLa cell line was maintained and used to evaluate these effects. Clonogenic survival assays were performed to evaluate differences in the RBE between the BS and SIA using 60Co as the reference beam quality. Neutral comet assay was used to assess induction of DNA strand damage by each beam to estimate differences in RBE. Quantification of mitotic errors was used to evaluate differences in chromosomal instability (CIN) induced by the three beam qualities. The BS was responsible for the greatest quantity of cell death due to a greater number of DNA double strand breaks (DSB) and CIN observed in the cells. The differences observed in the BS and SIA surviving fractions and RBE values were consistent with the 13% difference in LET as well as the factor of 3.5 reduction in dose rate of the SIA. Results from the comet and CIN assays were consistent with these results as well. The use of the titanium applicator results in a reduction in the biological effects observed with these sources, but still provides an advantage over megavoltage beam qualities. © 2023 by Radiation Research Society.

Indexed as

BrachytherapyUterine Cervical NeoplasmsCobalt RadioisotopesDNAFemaleHeLa CellsHumansMonte Carlo MethodRelative Biological EffectivenessTitaniumCobalt-60Cobalt RadioisotopesDNATitanium

Identifiers

PMID37014873
PMCPMC10288372
OpenAlexW4362521017

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.